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1916 Tax Practitioner's Application for Accreditation (Individual)

This BIR form is to be accomplished and filed by tax practitioners (individual) applying for accreditation

Your Browser Doesn't Support Canvas. Showing the Text Content of the PDF Instead: TAX PRACTITIONER’S APPLICATION
FOR ACCREDITATION

Republika ng Pilipinas
Kagawaran ng Pananalapi

Kawanihan ng Rentas Internas

BIR Form No.

1916

January 2000

(INDIVIDUAL)
1.

TAXPAYER IDENTIFICATION NUMBER

2. PRIVILEGE TAX RECEIPT NUMBER

3. DATE OF APPLICATION

4.

NAME

5. CITIZENSHIP

6.

BUSINESS ADDRESS

7. TELEPHONE NUMBER

(MM/DD/YYYY)

8. FAX NUMBER
9.

EDUCATIONAL ATTAINMENT
EDUCATIONAL
COURSE

NAME OF
SCHOOL / COLLEGE / UNIVERSITY

DEGREE/UNITS
RECEIVED

DATE GRADUATED
OR LAST ATTENDED

COLLEGE
POST GRADUATE
MASTERS
10. EXAMINATIONS TAKEN/PASSED

CERTIFICATE/ROLL NUMBER

DATE

PLACE

BOARD
BAR
OTHERS

(Specify) _________________

11. PROFESSIONAL PRACTICE
INCLUSIVE DATES
FROM
TO

NATURE OF PRACTICE

PLACE OF PRACTICE

(ATTACH SEPARATE SHEET IF NECESSARY)
12. SEMINARS OR TRAINING IN TAXATION
TITLE

NO. OF HOURS

PERIOD COVERED

CONDUCTED BY

13. MEMBERSHIP IN PROFESSIONAL ORGANIZATION

14. CHARACTER REFERENCES:
NAME

ADDRESS

15. Have you been convicted of any crime?

If yes, what crime?
Yes

No

I DECLARE, UNDER THE PENALTIES OF PERJURY, THAT THIS APPLICATION
HAS BEEN MADE IN GOOD FAITH, VERIFIED BY ME, AND TO THE BEST OF MY
KNOWLEDGE AND BELIEF, IS TRUE AND CORRECT, PURSUANT TO THE PROVISIONS
OF THE NATIONAL INTERNAL REVENUE CODE OF 1997, AND THE REGULATIONS
ISSUED UNDER AUTHORITY THEREOF.
_______________
DATE
ATTACHMENTS :

_______________________________________
SIGNATURE OF APPLICANT
OVER PRINTED NAME
(SEE BACK PAGE)

STAMP OF BIR RECEIVING OFFICE
AND DATE OF RECEIPT

ATTACHMENTS REQUIRED :
A. DOCUMENTARY EVIDENCE SUPPORTING ACADEMIC QUALIFICATION
B. CERTIFICATE OF REGISTRATION AND CURRENT LICENSE WITH PRC, SUPREME COURT OR OTHER REGULATORY BODIES
C. CERTIFICATE OF MEMBERSHIP WITH THE PERTINENT PROFESSIONAL ORGANIZATION
D. CERTIFICATE OF GOOD MORAL CHARACTER ISSUED BY 2 DISINTERESTED PERSONS, WHO ARE EITHER
MEMBER OF THE BAR OR CPA IN GOOD STANDING
 
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